You’ll need more info in 2015.
When your pathologist diagnoses an adenomatous polyp submitted from a colonoscopy, you’ll need to know much more information to choose the proper ICD-10 code.
Make sure you train your pathologists to document the proper details so you can properly code these cases when ICD-10 goes into effect on Oct. 1, 2015.
From One to Many
You just need one code for adenomatous colon polyp under ICD-9: 211.3 (Benign neoplasm of colon).
Question: Patient was about 6cm and began to have decelerations into the 80’s. They decided to perform an emergency C-section. Because the fetal head was wedged tightly into the pelvis, the ob-gyn had great difficulty in trying to extract the baby. Several physicians attempted to deliver it without success. The incisions, both uterine and skin, were extended into a “T’ shape. Then, they were finally able to get the baby out. When all was said and done, the fetus had a femur fracture. Fetal weight was 6lbs 14oz.
What ICD-9 code would be appropriate for this scenario, aside from the fetal heart decelerations?
HHS collected millions in HIPAA penalties in recent years.
HIPAA breaches caused by laptop thefts are on the rise, new HHS reports show. Are you doing all you can to avoid risk in this area?
Two recent reports to Congress from the HHS Office for Civil Rights, mandated by the Health Information Technology for Economic and Clinical Health (HITECH) Act, cover calendar years 2011 and 2012.
A breach notification report provides an overview of the breach notification requirements, while a report on the HIPAA rules summarizes complaints HHS has received of alleged violations of HITECH and the HIPAA Privacy and Security Rules, according to OCR.
During 2011 and 2012,
Specific documentation of stenosis and insufficiency will simplify finding the proper code.
When you start using ICD-10 codes in place of ICD-9, your nonrheumatic pulmonary valve disorder code choices will multiply by five. But a little prep work will make choosing among the more specific codes easy to do.
- 424.3, Pulmonary valve disorders
The August 2014 CPT® Assistant features the diagnostic audiology test codes that require use of calibrated electronic equipment. You’ll get clarification on the codes for audiologic function tests that you can report separately, or with E/M services, and get the facts on use of modifier 52 to report the services. Not sure where certain tests fall in the code range? The issue also presents the audiology test codes that enable the provider to identify the degree or type of hearing loss, assess the abnormal growth of loudness perception, detect defects in adaptation to sound, and evaluate the devices related to hearing.
Other topics this CPT® Assistant covers include reporting time based codes, visual evoked potential coding, and much more. Put SuperCoder.com’s Code Connect code and keyword search to good use to deepen your understanding of these topics:
- Audiologic Function Tests : 92550-92597, 92620-92625, 99201-99205, 99211-99215, 99241-99245, 0208T-0212T
- Evaluation and Management (E/M) Services Guidelines
- ICD-10-CM Diagnosis Coding Process
- Time Based Codes: 00100-01999, 90832, 90833, 90839, 90840, 95972, 95974, 95978, 97110, 99143-99150, 99291-99292, 99401-99404
- Visual Evoked Potential : 0333T, 95930.
ICD-10 codes will specify allergic or irritant contacts.
Although the contact dermatitis ICD-9 diagnosis codes were already fairly specific as far as distinguishing different kinds of agents that come in contact with the skin, the ICD-10 diagnosis codes that will come into effect on Oct. 1, 2015, do offer a bit more specificity in some cases.
Question: Our internal medicine physician recently performed removal of a plantar wart approximately 5mm in diameter. He initially shaved the lesion and then cauterized it with silver nitrate. He finally injected it with .01 ml of Candida skin test antigen. What CPT® code(s) should I report for the procedure? I am thinking of reporting 11305, 11900 and 17110. Is this appropriate?
Look for compliance clues in two new government reports.
Recent HIPAA reports mandated by the HITECH act may seem like jumbles of depressing statistics, but you can actually learn quite a bit from them.
Here are three key lessons you can glean from these reports:
1. Ratchet up your theft-prevention efforts. Theft didn’t merely rank number one on the list of breach causes, it blew all other causes out of the water. Theft accounted for half of the breaches in both years (50 percent in 2011 and 53 percent in 2012), according to a blog post from health law attorney Leah Roffman with Cooley.
Hint: Knowing the type points you to the diagnosis.
A study presented at the 2014 American Thoracic Society International Conference in May found that people with sleep apnea might have a higher risk of hearing loss – which means your otolaryngologist might start treating more patients who’ve been diagnosed with sleep apnea. Be sure you understand the condition so you can correctly code the associated diagnosis.
Determine Obstructive Vs. Central Type
Sleep apnea is a serious disorder characterized by a person’s breathing being interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, which can deprive the brain — and the rest of the body — of getting enough oxygen.
There are two types of sleep apnea:
Tip: Confirm underlying disease and site before you pick up the right code.
Vertebral fractures are nearly twice as common as other osteoporotic fractures in the wrist or hip, according to the American Academy of Orthopedic Surgeons. Osteoporotic vertebral fractures occur in nearly 700, 000 patients each year – and many of them might see your pain management physician for treatment before or after surgery.
Under ICD-9, you report code 733.13 (Pathological fracture of vertebrae) for pathological fracture of vertebrae. This single ICD-9 code corresponds to several ICD-10 codes that specifically address the underlying cause of the fracture.
Start by Confirming the Cause of Fracture
For an osteoporotic vertebral fracture that occurs due to aging, you report code M80.08XA (Age-related osteoporosis with current pathological fracture, vertebra[e], initial encounter for fracture).
For any other cause of the osteoporotic fracture like